Historique
Périodique
French general practitioners' prescribing high-dosage buprenorphine maintenance treatment: is the existing training (good) enough?
Auteur(s) :
FERONI, I. ;
PERETTI-WATEL, P. ;
MASUT, A. ;
COUDERT, C. ;
PARAPONARIS, A. ;
OBADIA, Y.
Année
2005
Page(s) :
187-191
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
MEDECIN GENERALISTE
;
PRESCRIPTION MEDICALE
;
BUPRENORPHINE
;
OPIACES
;
TRAITEMENT DE MAINTENANCE
;
FORMATION
;
ENQUETE
Thésaurus géographique
FRANCE
;
BOUCHES-DU-RHONE
Note générale :
Addictive Behaviors, 2005, 30, (1), 187-191
Résumé :
ENGLISH :
In France, since 1996, any general practitioner (GP) can prescribe high-dosage buprenorphine maintenance treatment (BMT) for opioid-dependent patients. The health authorities initially provided mandatory specific training, but since 1998, such training is only delivered by specialized networks and the pharmaceutical industry. Among a random sample of GPs from southeastern France (N=345), we found that many untrained GPs, as well as a significant minority of trained GPs, were likely to prescribe an ineffective dosage of buprenorphine or a potentially dangerous treatment (BMT+a short half-life benzodiazepine). These results highlight the necessity to edit clear guidelines, especially concerning situations of polyaddiction and psychiatric comorbidity, and to extend and improve BMT training in France with a renewed involvement of health authorities for quality control of such training. They even suggest that GPs' participation to specialized training sessions should become a mandatory prerequisite for prescribing BMT. (Author' s abstract)
Affiliation :
Institut National de la Recherche Médicale, U 379, 23 Rue Stanislas Torrents, 13006 Marseille. Email : peretti@marseille.inserm.fr
France. France.
France. France.
Cote :
A02142